DATE(MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE 02/27/2018

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

Holder Identifier :
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
Aon Risk Insurance Services West, Inc. PHONE FAX
San Francisco CA Office (A/C. No. Ext): (A/C. No.):
425 Market Street E-MAIL
Suite 2800 ADDRESS:
San Francisco CA 94105 USA
INSURER(S) AFFORDING COVERAGE NAIC #

INSURED INSURER A: James River Insurance Company 12203

Portier, LLC INSURER B:
1455 Market Street, 4th Floor
San Francisco CA 94103 USA INSURER C:

INSURER D:

INSURER E:
INSURER F:

COVERAGES CERTIFICATE NUMBER: 570070317704 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
DAMAGE TO RENTED
CLAIMS-MADE OCCUR
PREMISES (Ea occurrence)
MED EXP (Any one person)

570070317704
PERSONAL & ADV INJURY

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE

PRO-
POLICY LOC PRODUCTS - COMP/OP AGG
JECT
OTHER:
A AUTOMOBILE LIABILITY CA436500CA-03 03/01/2018 03/01/2019 COMBINED SINGLE LIMIT
$1,000,000
(Ea accident)

Certificate No :
ANY AUTO BODILY INJURY ( Per person)
OWNED SCHEDULED BODILY INJURY (Per accident)
AUTOS ONLY AUTOS
PROPERTY DAMAGE
HIRED AUTOS X NON-OWNED
(Per accident)
ONLY AUTOS ONLY

UMBRELLA LIAB OCCUR EACH OCCURRENCE

EXCESS LIAB CLAIMS-MADE AGGREGATE

DED RETENTION
WORKERS COMPENSATION AND PER OTH-
EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE-EA EMPLOYEE
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT

7777777707070700077763616065553330770407577205475407760035550436112073640575146303100772425113641013007142277570676710077004113562307540716605753227631007324211370050130077727252025773110777777707000707007
6666666606060600062606466204446200600022606006222206222026040260200062222242420422200602222606204222206000004242262002062022040622600200622024400066004206222066022440240066646062240664440666666606000606006
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Insurance.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.

Portier, LLC AUTHORIZED REPRESENTATIVE

1455 Market Street, 4th Floor
San Francisco CA 94103 USA

©1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
 DATE(MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 02/27/2018

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

Holder Identifier :
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
Aon Risk Insurance Services West, Inc. PHONE FAX
San Francisco CA Office (A/C. No. Ext): (A/C. No.):
425 Market Street E-MAIL
Suite 2800 ADDRESS:
San Francisco CA 94105 USA
INSURER(S) AFFORDING COVERAGE NAIC #

INSURED INSURER A: James River Insurance Company 12203

Portier, LLC INSURER B:
1455 Market Street, 4th Floor
San Francisco CA 94103 USA INSURER C:

INSURER D:

INSURER E:
INSURER F:

COVERAGES CERTIFICATE NUMBER: 570070317693 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
DAMAGE TO RENTED
CLAIMS-MADE OCCUR
PREMISES (Ea occurrence)
MED EXP (Any one person)

570070317693
PERSONAL & ADV INJURY

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE

PRO-
POLICY LOC PRODUCTS - COMP/OP AGG
JECT
OTHER:
A AUTOMOBILE LIABILITY CA436502CA-03 03/01/2018 03/01/2019 COMBINED SINGLE LIMIT
(Ea accident)

Certificate No :
ANY AUTO BODILY INJURY ( Per person) $50,000
OWNED SCHEDULED BODILY INJURY (Per accident) $100,000
AUTOS ONLY AUTOS
PROPERTY DAMAGE
HIRED AUTOS X NON-OWNED
(Per accident)
$25,000
ONLY AUTOS ONLY

UMBRELLA LIAB OCCUR EACH OCCURRENCE

EXCESS LIAB CLAIMS-MADE AGGREGATE

DED RETENTION
WORKERS COMPENSATION AND PER OTH-
EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE-EA EMPLOYEE
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT

7777777707070700077763616065553330770407577205475407760035550436112073640575146303100772425113641013007142277570676710077004113562307540756245357623675407724611730050130077727252025773110777777707000707007
6666666606060600062606466204446200600022626006022206222204260042002062202062600402200620022426226002206202004062240020062222062602600020602026622244226006202264202662260066646062240664440666666606000606006
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Insurance.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.

Portier, LLC AUTHORIZED REPRESENTATIVE

1455 Market Street, 4th Floor
San Francisco CA 94103 USA

©1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD